BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3071934 · Received April 22, 2013

    Report

    Report Number
    1531186-2013-01702
    Date Received
    April 22, 2013
    Report Date
    March 27, 2013
    Manufacturer
    JAN MAO
    Product Code
    ILS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    POTENTIAL FOR INJURY ASSOCIATED WITH A BENT LEG ON A 6500-BHD COMMODE. THIS COULD CAUSE THE UNIT TO BECOME UNSTABLE AND POSE A FALLING HAZARD TO THE USER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    172320 DAILY ACTIVITY ASSIST DEVICES 890.5050 ILS JAN MAO 6500-BHD

    Patients

    Seq Age Sex Outcome Treatment
    1 Other